Platycodin D, a natural component of Platycodon grandiflorum, prevents both lysosome- and TMPRSS2-driven SARS-CoV-2 infection by hindering membrane fusion

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Abstract

An ongoing pandemic of coronavirus disease 2019 (COVID-19) is now the greatest threat to global public health. Herbal medicines and their derived natural products have drawn much attention in the treatment of COVID-19, but the detailed mechanisms by which natural products inhibit SARS-CoV-2 have not been elucidated. Here, we show that platycodin D (PD), a triterpenoid saponin abundant in Platycodon grandiflorum (PG), a dietary and medicinal herb commonly used in East Asia, effectively blocks the two main SARS-CoV-2 infection routes via lysosome- and transmembrane protease serine 2 (TMPRSS2)-driven entry. Mechanistically, PD prevents host entry of SARS-CoV-2 by redistributing membrane cholesterol to prevent membrane fusion, which can be reinstated by treatment with a PD-encapsulating agent. Furthermore, the inhibitory effects of PD are recapitulated by the pharmacological inhibition or gene silencing of NPC1 , which is mutated in patients with Niemann–Pick type C (NPC) displaying disrupted membrane cholesterol distribution. Finally, readily available local foods or herbal medicines containing PG root show similar inhibitory effects against SARS-CoV-2 infection. Our study proposes that PD is a potent natural product for preventing or treating COVID-19 and that briefly disrupting the distribution of membrane cholesterol is a potential novel therapeutic strategy for SARS-CoV-2 infection.

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  1. SciScore for 10.1101/2020.12.22.423909: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    After blocking with 5% skim milk in TBST (20 mM Tris-HCl (pH 7.5), 150 mM NaCl, 0.05% Tween 20) for 1 h at room temperature (RT), the membranes were incubated in the in TBST at 4°C overnight with the following primary antibodies: rabbit anti-NPC1 (Novus, NB400-148), rabbit anti-NPC2 (Novus, NBP1-84012), rabbit anti-ACE2 (Abcam, ab15348), rabbit anti-TMPRSS2 (Abcam, ab92323), and mouse anti-GAPDH (Abcam, ab8245).
    anti-NPC1
    suggested: None
    anti-NPC2
    suggested: None
    anti-ACE2
    suggested: (Abcam Cat# ab15348, RRID:AB_301861)
    anti-TMPRSS2
    suggested: (Abcam Cat# ab92323, RRID:AB_10585592)
    anti-GAPDH
    suggested: (Abcam Cat# ab8245, RRID:AB_2107448)
    Experimental Models: Cell Lines
    SentencesResources
    Cell culture: H1299, A549, MRC-5, and CaCo2 cells were obtained Korean Cell Line Bank.
    A549
    suggested: NCI-DTP Cat# A549, RRID:CVCL_0023)
    MRC-5
    suggested: ICLC Cat# HL95001, RRID:CVCL_0440)
    CaCo2
    suggested: CLS Cat# 300137/p1665_CaCo-2, RRID:CVCL_0025)
    In brief, HEK293T cells that reached 70-80% confluency in a 6-well plate were transfected with 1 μg of lentiviral backbone that contains expression cassettes for firefly luciferase, 0.75 μg of psPAX2 packing plasmid, and 0.5 μg of SARS-CoV-2 Spike plasmid (a gift from Fang Li, Addgene plasmid #145032) using Lipofectamine 3000 transfection reagent (Invitrogen, USA) following the manufacturer’s instructions. pMD2.
    HEK293T
    suggested: None
    For experiments with drugs, H1299 cells were pre-treated for 1 h with each drugs before transduction.
    H1299
    suggested: NCI-DTP Cat# NCI-H1299, RRID:CVCL_0060)
    Vero cells were seeded at 1.2 × 104 cells per well and Calu-3 cells were seeded at 2.0 × 104 cells per well in black, 384-well, μClear plates (Greiner Bio-One, Austria), 24 h prior to the experiment.
    Calu-3
    suggested: None
    For viral infection, plates were transferred into the BSL-3 containment facility and SARS-CoV-2 was added at a multiplicity of infection (MOI) of 0.0125 in Vero cells and 0.5 in Calu-3 cells.
    Vero
    suggested: CLS Cat# 605372/p622_VERO, RRID:CVCL_0059)
    Experimental Models: Organisms/Strains
    SentencesResources
    Electrophysiology: For the brain acute slicing, 5 weeks C57BL/6J mice were anesthetized with isoflurane and decapitated.
    C57BL/6J
    suggested: RRID:IMSR_JAX:000664)
    Software and Algorithms
    SentencesResources
    Molecular modelling of MβCD inclusion complexes: Schrodinger Maestro software 2017 suite (Maestro, Schrödinger, LLC, New York, NY) was used to prepare and score the MβCD binding complexes.
    Schrodinger Maestro
    suggested: None
    For sIPSC frequency and amplitude analyzing, Mini Analysis Program software (Synaptosoft) were used.
    Mini Analysis Program
    suggested: (Mini Analysis Program, RRID:SCR_002184)
    9.0.0 was used (GraphPad Software).
    GraphPad
    suggested: (GraphPad Prism, RRID:SCR_002798)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.